THROAT LOZENGE W/MENTHOL (18436)    VA PRODUCT (50.68)

Name Value
NAME THROAT LOZENGE W/MENTHOL
VA GENERIC NAME MENTHOL
DOSAGE FORM LOZENGE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME THROAT LOZENGE LOZENGE
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME THROAT LOZENGE W/MENTHOL
VA PRODUCT IDENTIFIER T0646
TRANSMIT TO CMOP YES
VA DISPENSE UNIT LOZ
MASTER ENTRY FOR VUID YES
VUID 4026223
EFFECTIVE DATE/TIME
  • 2007-07-24 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE
  • 2009-04-08 00:00:00
    STATUS:   ACTIVE